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RECEIVED ON 4/5/2022 VIA EMAIL :A+867 , <br /> Date:03,Zw,9 BILL OF LADING—SHORT FORM —NOT NEGOTIABLE Page 1 of 1 <br /> SHIP FROM Bill of Lading Number: <br /> Onsite Electronics Recycling—North County Landfill <br /> 17720 E. Harney Lane °2 <br /> Lodi,CA 95236 <br /> STIP TO Carrier Name: Onsite Electronics Recycling <br /> Onsite Electronics Recycling <br /> 2331 Teepee Drive <br /> Stockton,CA 95205 <br /> Special Instructionsr Freight Charge Terms(Freight charges are prepaid unless marked otherwise): <br /> Prepaid ❑ Collect❑ 3rd Party❑ <br /> ❑ Master bill of lading with attached underlying bills of lading. <br /> Cl1STOMI -JO R-INFORMATION <br /> _ _ <br /> Customer Order No. #of Packages Weight Pallet/Slip Additional Shipper <br /> g g (circle one) Information <br /> Y N <br /> Y N <br /> Y N <br /> Y N <br /> Grand Total <br /> CARRIER INFORMATION <br /> #Containers Con peer LTL Only <br /> \� HM (X) Commodity Description Weight <br /> Commodities requiring special or additional care or attention in handling or stowing must be so marked <br /> and packaged as to ensure safe transportation with ordinary care.See Section 2(e)of NMFC Item 360 <br /> rt <br /> f Used Oil containing Capacitors 2— <br /> !. � <br /> Used Oil <br /> Universal Waste Mercury Devices <br /> Universal Waste Lamps <br /> X Polychlorinated Biphenyls,9, UN2315,III <br /> Refrigerant Oil , <br /> �w X Freon <br /> Where the rate is dependent on value,shippers are required to state specifically in writing the agreed or COD Amount:$_ <br /> declared value of the property as follows:"The agreed or declared value of the property is specifically -- <br /> stated by the shipper to be not exceeding_..._: ________,per ___ .._, Fee terms: Collect❑ Prepaid❑ Customer check acceptable❑ <br /> Note: Liability limitation for loss or damage in this shipment may be applicable.See 49 USC§14706(c)(1)(A)and(B). <br /> Received,subject to individually determined rates.or contracts that have been agreed The carrier shall not make delivery of this shipment without payment of charges and <br /> upon in writing between the carrier and shipper,if applicable,otherwise to the rates, all other lawful fees. <br /> classifications,and rules that have been established by the carrier and are available to <br /> the shipper,on request,and to all applicable state and federal regulations. Shipper Signature <br /> Shipper Si acture/Date Trailer Loaded: Freight Counted: Carrier Signature/Pickup Date <br /> ❑ By shipper ❑ By shipper <br /> �- � -- ❑ By driver ❑ By driver/pallets said to contain e,11.Thi i ce ' that the above named mater(als are ❑ B driver leceswledges receipt of packages and required <br /> p y ci ified,packaged,marked,and labeled,and are Y /p ier certifies emergency response information <br /> i proper ondition for transportation according to the e available and/or carrier has the DOT emergency <br /> pplica a regulationsof the DOT. pe guidebook or equivalent documentation In the <br /> vehicle.Property described above is received in good order, <br /> except as noted. <br />